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Dull constant pain left hypochondriac pain - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Abdominal Pain
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3344 Questions
User :   I have had an almost constant dull pain on left side about three inches below the breast. Worse when laying or sitting. Has been about three days. Does not hurt worse when I take a deep breath.
Doctor :   Hi
Doctor :   I am Dr. xxxxx
User :   Good morning
Doctor :   I have few related questions
Doctor :   What is your age, gender and occupation?
User :   50, female, homemaker
Doctor :   Do you smoke or consume alcohol?
User :   No
Doctor :   Do you think this pain is under the rib cage on the left side?
User :   Yes, it is about two fingers width below left breast
Doctor :   Does it increase on inhalation of air and reduce on expiration?
User :   No
Doctor :   So only sitting and lying increase the pain, Is it?
Doctor :   Do you have pain when you press over the area with the palm of your hand?
User :   It is less noticeable when upright or walking
User :   Pressing on it does not hurt but does give some relief
Doctor :   What is the severity of the pain over a scale of 1 to 10, 1 being the least?
User :   About a 4
User :   It is more consistent than intense
Doctor :   How is your appetite ?
User :   Good
Doctor :   How are you bowels?
Doctor :   Your*
User :   Regular bowel movements. Stool not constipated but could be if I didn't eat enough veggies or fiber
Doctor :  
Did the pain change in position or intensity since the onset?>
User :   No.
Doctor :   Was the onset sudden or gradual?
User :   Sudden
Doctor :   Any relation with the food intake?
User :   No
Doctor :   Do you have any other medical problems like Diabetes, High BP, Cholesterol?
Doctor :   Blood disorders?
User :   I take torpor xl 50 for high blood pressure. Cholesterol is very good. Total of 122.
User :   Toprol
Doctor :   Did you take any medicines for this pain?
User :   No
Doctor :   Ever told to have peptic ulcer?
User :   Actually anvil on Tuesday but no difference with it
User :   No problem before
Doctor :   Do you have shortness of breath?
User :   Never told about an ulcer before
User :   No shortness of breath at all
Doctor :   Is your blood pressure under control
User :   Yes
Doctor :   I tried to point out if the problem is gut related
Doctor :   or heart related
Doctor :   But your history is very non specific to relate to any system
Doctor :   But I could understand that this is not serious
Doctor :   Still a 4/10 pain is always uncomfortable
Doctor :   It is not easy to pinpoint the cause of your problem just with your explanation of the problems, it would be good to examine you.
Doctor :   I would be interested to do an abdominal examination
User :   It is the fact that this is three full days of this that concerns me
Doctor :   Hence I suggest to see a local doctor and get the examination and if necessary a battery of investigation
Doctor :   I think the next step is to seek an appointment with primary

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